Individual provider Active NPI

Elizabeth Ann Powell, NP

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1285134163
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136642 Issued in TX
Practice address
515 N 3Rd St
Longview, TX 75601-6546
Phone
(903) 475-3474
Fax
(903) 367-0300
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136642 TX Primary

Addresses

Primary practice location

515 N 3Rd St
Longview, TX 75601-6546

Mailing address

515 N 3Rd St
Longview, TX 75601-6546
Phone (903) 475-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312000569 TX Practitioner - Nurse Practitioner 2062773930 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136642TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Etx Metabolic Syndrome Relief PLLC Current Accepting new patients
Texas Palliative Services PA CurrentSince Jul 15, 2024 Accepting new patients
Carebridge Medteam, LLC CurrentSince Oct 1, 2024 Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Nov 1, 2025 Accepting new patients
Wound Management Specialists, LLC CurrentSince Jan 1, 2023 Accepting new patients
Texas Palliative Services PA Current Accepting new patients
Texas Palliative Services PA CurrentSince Jul 15, 2024 Accepting new patients

Locations

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

3516 NE Stallings Dr
Ste B
Nacogdoches, TX 75965
Phone (936) 585-6140

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1285134163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016546",
            "telephone_number": "903-475-3474",
            "fax_number": "903-367-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016546",
            "telephone_number": "903-475-3474",
            "fax_number": "903-367-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.